Active NPI
Sophia Helen Pelich, BCBA LABA
- Behavior Analyst
- North Andover, MA
National Provider Identifier
1891255667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2613
- Practice address
- 2 Adrian St
North Andover, MA 01845-5402 - Phone
- (978) 697-4415
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2613 | MA | Primary |
Addresses
Primary practice location
2 Adrian St
North Andover, MA 01845-5402
Mailing address
2 Adrian St
North Andover, MA 01845-5402
Phone (978) 697-4415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2613 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1891255667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ADRIAN ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455402",
"telephone_number": "978-697-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ADRIAN ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455402",
"telephone_number": "978-697-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELICH",
"first_name": "SOPHIA",
"middle_name": "HELEN",
"credential": "BCBA LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.